NPIMap

Organization Active NPI

Arkansas Methodist Hospital Corporation

Doing business as AMMC Physician Group

  • Otolaryngology Physician
  • Paragould, AR
National Provider Identifier
1205457405
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
ARKANSAS METHODIST HOSPITAL CORPORATION
Doing business as
AMMC Physician Group
Baptist Paragould Physician Group
Practice address
1000 W. Kinshighway
Suite 14
Paragould, AR 72450
Phone
(870) 239-8591
Fax
(870) 239-8137
NPI assigned
Apr 29, 2020
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ARKANSAS METHODIST HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gregory M Duckett
Title
Officer Secretary
Phone
(901) 227-5233

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X
Women's Health Nurse Practitioner 363LW0102X
Family Medicine Physician 207Q00000X
Obstetrics & Gynecology Physician 207V00000X
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X
Otolaryngology Physician 207Y00000X Primary
Plastic Surgery Physician 208200000X
Surgery Physician 208600000X
Urology Physician 208800000X
Audiologist 231H00000X

Addresses

Primary practice location

1000 W. Kinshighway
Suite 14
Paragould, AR 72450

Mailing address

1000 W Kingshighway Ste 14
Paragould, AR 72450-4197
Phone (870) 239-8591

Other names 2

  • AMMC Physician Group Doing business as
  • Baptist Paragould Physician Group Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811000460 AR Part B Supplier - Clinic/Group Practice 6608780119 Receives reassigned benefits from 25 practitioners
1 other NPI on this enrollment
Practice locations: Paragould, AR

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Rector Ambulance

Locations

1000 W Kingshighway
Ste 14
Paragould, AR 72450
Phone (870) 239-7103

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Baptist Memorial Hospital - ParagouldParagould, AR, CCN 040039 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999
Baptist Memorial Hospital - ParagouldParagould, AR, CCN 04T039 Hospital 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999
Baptist Memorial Hospital - Paragould Home HealthParagould, AR, CCN 047004 Home health agency 5% Or Greater Direct Ownership Interest (100%) Apr 30, 1999

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1205457405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W KINGSHIGHWAY STE 14",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504197",
            "telephone_number": "870-239-8591",
            "fax_number": "870-239-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W. KINSHIGHWAY",
            "address_2": "SUITE 14",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-239-8591",
            "fax_number": "870-239-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS METHODIST HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ARKANSAS METHODIST HOSPITAL CORPORATION",
        "enumeration_date": "2020-04-29",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "DUCKETT",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICER SECRETARY",
        "authorized_official_telephone_number": "901-227-5233"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMMC Physician Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Baptist Paragould Physician Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.